دورية أكاديمية

Diferencias clínicas y demográficas entre pacientes con troponina positiva y negativa que acudieron con taquicardia supraventricular y dolor torácico a los servicios de urgencias

التفاصيل البيبلوغرافية
العنوان: Diferencias clínicas y demográficas entre pacientes con troponina positiva y negativa que acudieron con taquicardia supraventricular y dolor torácico a los servicios de urgencias
المؤلفون: Puerta Zuluaga, Manuel J., Mora Pabón, Guillermo, Mendoza Beltrán, Fernán
المصدر: CorSalud, ISSN 2078-7170, Vol. 10, Nº. 3, 2018, pags. 184-191
سنة النشر: 2018
المجموعة: Dialnet - Portada de revistas (Universidad de La Rioja)
مصطلحات موضوعية: Supraventricular tachycardia, Chest pain, High-sensitivity troponin, Coronary disease, Taquicardia supraventricular, dolor torácico, troponina de alta sensibilidad, enfermedad coronaria
الوصف: Introduction: The presentation of supraventricular tachycardia (SVT) with chest pain and elevation of biomarkers contributes to the diagnosis of acute myocardial infarction in the patients who have them.Objective: To evaluate the clinical and sociodemographic characteristics of patients with SVT and chest pain; as well as to know the prevalence of cardiovascular risk factors, electrocardiographic findings, troponin measurement results and the correlation of these variables with the results of ischemia detection tests and coronary angiography.Method: There were reviewed the admissions to emergency departments of patients with SVT, chest pain, and high sensitivity troponin I measurement who underwent ischemia detection test or coronary angiography.Results: A total of 199 patients with an average age of 68 years were included. The 53.3% (106/199) were women, 70.6% (141/199) had some cardiovascular risk factor and high blood pressure was more prevalent 53.8% (107/199). The 38.2% (76/199) of patients had positive troponins and showed statistically significant differences with respect to a higher heart rate (145.5 vs. 133.5 lpm, p<0.05) and a history of coronary disease (26.3% [20/76] vs. 9.8% [12/123], p<0.05). Men predominated (79.3% vs. 20.7%, p<0.01), with a history of coronary disease (41.4% [12/29] vs. 11.8% [20/170]; <0.01) and with positive troponins (79.3% [23/29] vs. 31.2% [53/170], p<0.01).Conclusions: More than a third of patients with SVT and chest pain showed elevated troponins, which was related to the finding of coronary disease. The male sex and previous coronary disease were more frequently associated with significant coronary artery disease. ; Introducción: La presentación de taquicardia supraventricular (TSV) con dolor torácico y elevación de biomarcadores contribuye al diagnóstico de infarto agudo de miocardio en estos pacientes.Objetivo: Evaluar las características clínicas y sociodemográficas de pacientes con TSV y dolor torácico; así como conocer la prevalencia de factores de ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: Spanish; Castilian
العلاقة: https://dialnet.unirioja.es/servlet/oaiart?codigo=6636249Test; (Revista) ISSN 2078-7170
الإتاحة: https://dialnet.unirioja.es/servlet/oaiart?codigo=6636249Test
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رقم الانضمام: edsbas.4D545F11
قاعدة البيانات: BASE